The nurse is caring for a client on a monitored telemetry unit. During morning assessment, the nurse notes abnormal ECG waves on the telemetry monitor. Which action would the nurse do first?
A) Call the physician with a report.
B) Assess the client.
C) Assess for mechanical dysfunction.
D) Reposition the client.
B
Feedback:
When a nurse notes an abnormal rhythm on a telemetry monitor, the first action is to assess the client. After client assessment, the nurse is able to make an informed decision on the next nursing action.
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